Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George arrived at the facility unannounced for the purpose of a complaint investigation (#18-AS-20220520121929). LPA was greeted and granted entry by receptionist Marisol Torres. Administrator arrived an hour after LPAs arrival. During today's inspection, LPA George observed the following deficiencies:

LPA George reviewed the copy of the personnel roster obtained from the Licensing Information System (LIS) and observed that Staff #1 (S1) was not associated to the facility. Deficiency cited.

To have an individual work at the facility without proper background clearance (or completion of transferring clearance) results in civil penalties in the amount of $100 per day, per individual.

LPA George will be issuing civil penalties in the maximum amount of $500 ($100 per day x 5 days) during today's inspection for S1 $500.

In addition LPA requested resident files, to conduct a review and the files were not readily available. LPA waited for 40 minutes for the resident files that were requested. A Deficiency will also be cited.

LPA George conducted an exit interview with Diana Ramirez, Administrator and a copy of this report, LIC809D, LIC421BG, and appeal rights were also provided.